Value-Based Provider Contract Manager

Hispanic Alliance for Career Enhancement; Illinois; Hybrid; USD 66,330 - 145,860; Full time

Job summary

CVS Health in Illinois is seeking a Contract Negotiation Manager to lead negotiations with ancillary providers, physician groups, and local systems, strengthening the provider network and driving cost-efficient arrangements.

You will manage performance, collaborate across teams, and recruit providers to support expansion while aligning with regulatory and strategic goals. This role requires deep contract expertise and strong analytical skills.

Qualifications

• 5+ years of experience negotiating contracts with ancillary providers, facilities, and physician groups, including contract language development, rate proposal analysis, and identification of operational and financial improvement opportunities.
• 3+ years of experience in provider relationship management or related healthcare roles, with proven contract management expertise.
• Strong knowledge of provider reimbursement methodologies, contract structures, and industry-standard payment policies and practices.
• Solid understanding of provider financial drivers, regulatory requirements, and competitive market dynamics.
• Advanced proficiency in Microsoft Office applications, including Excel, Word, and Outlook.
• Proven ability to build and maintain collaborative relationships with providers while partnering cross-functionally to resolve complex contract issues.
• Highly organized with strong prioritization skills; able to manage multiple negotiations and competing priorities while meeting deadlines.
• Candidates must reside in the state of Illinois.

Responsibilities

• Lead end-to-end contract negotiations, execution, and analysis with a focus on ancillary providers, physician groups, and smaller/local systems.
• Manage contract performance and drive the development and implementation of value-based arrangements aligned with organizational strategy.
• Identify, recruit, and onboard providers to meet network expansion and adequacy targets; accountable for delivering competitive and sustainable cost arrangements.
• Partner cross-functionally to support provider compensation strategy, pricing development, and reimbursement modeling.
• Analyze financial and operational data to identify cost-saving opportunities and execute initiatives that drive measurable impact.
• Serve as a key representative of the organization with providers, customers, and community stakeholders, strengthening partnerships and collaboration.
• Evaluate and contribute to provider network strategy, ensuring alignment with state requirements, product needs, and cost management objectives.
• Optimize provider engagement and resolve complex escalations related to claims, contract interpretation, and provider data accuracy.

Skills

Contract negotiations

Provider relationships

Data analysis

Cross-functional collaboration

Financial analysis

Education

Bachelor's degree

Tools

Excel

Word

Outlook

Job description

CVS Health in Illinois is seeking a Contract Negotiation Manager to lead negotiations with ancillary providers, physician groups, and local systems, strengthening the provider network and driving cost-efficient arrangements.

You will manage performance, collaborate across teams, and recruit providers to support expansion while aligning with regulatory and strategic goals. This role requires deep contract expertise and strong analytical skills.